Trichoscopy as a clue to the diagnosis of scalp sarcoidosis

Torres, Fernanda; Tosti, Antonella; Misciali, Cosimo; Lorenzi, Sandra

doi:10.1111/j.1365-4632.2010.04711.x

Cited by 28 publications

(16 citation statements)

References 20 publications

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“…69 The presence of orange spots on trichoscopy has been reported as a possible diagnostic clue for sarcoidosis. 88 Mucosal sarcoidosis Sarcoidosis may involve the oral, nasal, and genital mucosa. Granulomatous lesions, usually papules or papulonodules, develop on any part of the oral mucosa and presentations vary from infiltrated papules to firm nodules to ulcers (Fig.…”

Section: Papular Sarcoidosismentioning

confidence: 99%

Sarcoidosis

Sanchez

Haimovic

Prystowsky

2015

Dermatologic Clinics

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Sarcoidosis is a disease characterized by noncaseating granulomatous infiltration of 1 or more organs. In North America, after the lungs and thoracic lymph nodes, the skin is the next most commonly involved organ. Data from multiple studies indicate a coaction between genetic and environmental factors in immunologically susceptible hosts. The disease's many clinical manifestations and course vary greatly and are influenced by race, ethnicity, and gender. In the skin, the lesions of sarcoidosis are classified as specific when noncaseating granulomas are present, and nonspecific when there is an inflammatory reaction pattern devoid of granulomas.

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Section: Papular Sarcoidosismentioning

confidence: 99%

Sarcoidosis

Sanchez

Haimovic

Prystowsky

2015

Dermatologic Clinics

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“…Trichoscopic findings may vary depending on clinical presentation, but presence of yellow-orange spots is characteristic [68,69] .…”

Section: Scalp Itch Associated With Systemic Diseasementioning

confidence: 99%

Scalp Itch: A Systematic Review

Vázquez-Herrera

Sharma

Aleid

et al. 2017

Skin Appendage Disord

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ated with a desire to scratch [1] . Just like skin pruritus, its etiology may be of dermatological or non-dermatological origin. It is common for the dermatologist to encounter patients with no evident cause of scalp pruritus, making it a distressing situation for both the clinician and the patient. The aim of this paper is to review the clinical signs of the most common causes of scalp itch and other less common causes that must be considered in a systematic approach to scalp pruritus. Materials and MethodsWe performed a MEDLINE search through PubMed (1975PubMed ( -2017, using the terms scalp itch and scalp pruritus and included clinical trials, review articles, case series, and case reports to search for the causes of scalp itch. PathophysiologyAlthough various pathogenic etiologies contribute to scalp pruritus, the scalp itself has distinct neuroanatomy and vasculature, specific neuromediators and corresponding receptors, as well as the presence of scalp sebum and microflora, which are all properties that may explain its tendency to be implicated in patients who complain of itch. Keywords Scalp · Itch · Pruritus · Seborrheic dermatitis · Contact dermatitis · Anxiety · Lichen planopilaris · Lice · Pediculosis · Psoriasis · Trichoscopy AbstractScalp itch is a frequent complaint in the dermatological setting. It is common for the dermatologist to encounter patients with no evident cause of scalp pruritus, making it a distressing situation for both the clinician and the patient. The aim of this paper is to propose a systematic approach to scalp itch, which classifies scalp pruritus into two types: (1) with or (2) without dermatological lesions, and presence or absence of hair loss. Also, it is important to think first about the most common causes and then rule out other, less common etiologies. The acronym SCALLP and the five steps for scalp evaluation (listen, look, touch, magnify, and sample) are useful tools to keep in mind for an assertive approach in these patients.

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“…Turuncu benekler ise folikül ağızlarına uymayan, sarı beneklerden farklı olarak en az üç kat daha büyük patolojik olarak yüzeyel dermisteki granülomlara uyan renklenmelerdir. Saçlı deri sarkoidozunda tanımlanmışlardır (25).…”

Section: Perifoliküler Epidermisunclassified

Trichoscopy

Dicle¹

2015

tdd

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Trikoskopi (saç ve saçlı deri dermoskopisi) klinikte sık görülen saç hastalıklarının ayırıcı tanısında kullanılan değerli bir in vivo tanı yöntemidir. Yöntemde tanı, foliküler açıklıklar, kıl gövdeleri ve perifoliküler epidermis olmak üzere dermoskopla görülebilen temel yapıların değerlendirilmesine dayalıdır. Bu yöntem klinikte, erken androgenetik alopesi tanısında, androgenetik alopesi ve telojen efluvium ayırımında, yamasal alopesilerin ayırıcı tanısında ve skarlı alopesilerin skarsız alopesilerden ayrımında fayda sağlar. Bu makale, trikoskopide gözlenen temel yapısal özelliklere ait anormalliklerle ilgili şuanki bilgilerimizi ve sık görülen saç hastalıklarının karakteristik görünümlerini özetlemektedir. Anahtar kelimeler: Trikoskopi, dermoskopi, saç, alopesi, saç hastalıkları Çıkar Çatışması: Yazarlar bu makale ile ilgili olarak herhangi bir çıkar çatışması bildirmemiştir. Özlem Dicle Trikoskopi Trichoscopy Özet AbstractTrichoscopy (hair and scalp dermoscopy) is a valuable in vivo tool for the differential diagnosis of clinically frequent hair diseases. It is based on evaluation of basic structures that may be visualized with a dermascope; follicular openings, hair shafts and perifollicular epidermis. This method is useful to diagnose early androgenetic alopecia, to distinguish androgenetic alopecia from telogen effluvium, to make differential diagnosis of patchy alopecias and differentiate scarring from nonscarring alopecias. This article summarizes the current knowledge in abnormal appearances of basic structural components on trichoscopy and characteristic trichoscopic features of the most common hair diseases.

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Trichoscopy as a clue to the diagnosis of scalp sarcoidosis

Abstract: The orange spots seen at trichoscopy of lesions in scalp sarcoidosis may represent a clue to the diagnosis of this condition. Dystrophic hairs may indicate granulomatous activity.

Cited by 28 publications

References 20 publications

Sarcoidosis

Sarcoidosis

Scalp Itch: A Systematic Review

Trichoscopy

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